基于DRG绩效标准化时间效率和床位效率对临床科室的评价研究  

Evaluation on standardized time efficiency and bed efficiency model for clinical departments on DRG performance management

作　　者：周美珍 郑盼 郭佳奕 徐敏慧 李小兵 胡旻 Zhou Meizhen;Zheng Pan;Guo Jiayi;Xu Minhui;Li Xiaobing;Hu Min(Jinhua Maternity and Child Health Care Hospital,Jinhua 321000,China;Affiliated Jinhua Hospital,Zhejiang University School of Medicine,Jinhua 321000,China)

机构地区：[1]金华市妇幼保健院,浙江金华321000 [2]浙江大学医学院附属金华医院,浙江金华321000

出　　处：《中国医院统计》2023年第3期203-207,共5页Chinese Journal of Hospital Statistics

基　　金：浙江省医药卫生科技计划项目(2020KY1011);金华市重点科学技术研究项目(2021-3-140)。

摘　　要：目的分析基于DRG绩效分组标准化时间和床位效率模型对临床科室的实践应用,有效规避不同病种结构对效率和产能的影响,为医院床位管理及相关医疗资源配置提供依据。方法以浙江省某市级妇幼保健机构儿专科出院患者为研究对象,将DRG分组与专科数据结合,采用直接标准化法对平均住院日和床位使用率进行标准化,并测算全病种覆盖的标准化结果,将传统指标与标准化结果进行对比,利用时间床位效率模型对时效和床效进行分析。结果2021年上半年儿科一平均住院日和床位使用率指标,传统、标准化、全病种覆盖标准化的3组结果均不同;儿科一标准化床位使用率及全覆盖病种标准化床位使用率的第1、第2季度值分别为45.08%、84.17%和56.38%、84.64%;时间床位效率模型显示,3个专科第2季度的时间和床位效率均较第1季度有提高,儿科一处于高效率、高效能象限科室,运营得分2.25。结论标准化平均住院日和床位使用率更能促进医疗机构以及其他评价机构DRG精细化管理;时间床位效率模型能够更加准确全面地反映资源使用情况,有助于政府部门及医院管理者制定发展规划。Objective To analyze the practical application of DRG performance grouping standardized time and bed efficiency model to clinical departments,to effectively avoid the impact of different disease structures on efficiency and productivity,and to provide basis for hospital bed management and related medical resources allocation.Methods Patients discharged from the pediatric department in a municipal maternal and child health care institution in Zhejiang Province were selected as the research subjects.DRG group was combined with the specialized data,and the average hospitalization days and bed utilization rate were standardized by direct standardization method.The standardized results of the coverage of all the diseases were measured and compared with the traditional indicators.Time bed efficiency model was used to analyze time efficiency and bed efficiency.Results In the first half of 2021,the average hospitalization days and bed utilization rate of the first pediatrics department were different in the three groups of traditional,standardized and standardized coverage of all diseases;the first and second quarter values of the utilization rate of standardized beds in the first pediatrics department and standardized beds for full-coverage diseases were 45.08%,84.17%and 56.38%,84.64%respectively.The time and bed efficiency model showed that the three specialties in the second quarter were improved compared with those in the first quarter;the first pediatrics department was in the quadrant of high efficiency and efficiency,with an operation score of 2.25.Conclusion Standardized average hospital stay and bed utilization rate can promote the refined management of DRG in medical institutions and other evaluation institutions.The time-bed efficiency model can reflect resource usage more accurately and comprehensively,which is helpful for government departments and hospital managers to make development plans.

关 键 词：疾病诊断相关分组 平均住院日 床位使用率 标准化 时间床位效率模型 

分 类 号：R197.3[医药卫生—卫生事业管理]